Request a Mediation

Complete this enquiry form to enable us to appoint a Mediator to your case.

Please enter as much detail as you can to help us forward your enquiry to the correct person.

If you are not yet ready to mediate but would like to contact the NMPA to discuss mediation then please click HERE.

Fields marked with * are required

Name *

Email *

Subject *

Telephone Nunber *

Brief Details of the Dispute

Have you discussed mediation with the other party/parties?

Yes No

Where did your enquiry originate

Number of Claimants

Amount in Dispute

Have Proceedings been Issued in this matter

Yes No

Your status

Where did you hear about this service

Status

Number of Defendants

Claimant Name

Claimant Details

If so, did they agree to mediate?

Yes No

Send a copy to your email

Notes

When you have completed the form press 'SUBMIT'. Your enquiry will be allocated to a mediation provider and you will be shown details of who is handling your case. If you request a copy of your enquiry then we will also email you this information.

If your enquiry relates to family issues, divorce, children or finances, then you need to contact the Family Mediation Council This email address is being protected from spambots. You need JavaScript enabled to view it. PO BOX 593, Exeter, EX1 9HG.